DOUGLAS T SHUMAKER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925681

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

SHUMAKER

Suffix

Business Name

DOUGLAS T SHUMAKER OD

Original Issue Date

05/26/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

09/11/2005